In this module you will build on your previous learning so that you can prioritise and respond to the changing levels of support that people require when their health status changes. You will develop your ability to manage and evaluate care across healthcare settings to promote, restore and stabilise health status
Aims and Objectives
Having successfully completed this module you will be able to:
- Justify nursing responses to acute changes in health status using evidence based interventions
- Identify, prioritise and respond to risk factors that may lead to deterioration in health status.
- Explain how clinical judgement and decision making skills are important aspects of managing nursing care
- Discuss the knowledge and skills necessary to undertake a prioritised assessment of people who are experiencing an acute change in health status
Content for ALL Fields:
Clinical judgement & decision making
Responding to mental and emotional distress including agitation, aggression and challenging behaviour
Responding to self-harm and or suicidal ideation
Recognising and responding to acute deterioration in physical health status (e.g. sepsis)
Breaking significant news
Sudden and / or traumatic death
Ethical and legal issues in acute care: DNACPR, DOLS
Managing risks to vulnerable groups with acute health care needs (e.g. Learning Disability)
Human Factors: Safety culture, Debriefing
Medicines Management: Safe medicine use. (e.g. drug interactions / reactions including anaphylaxis; recreational drugs; using technology to improve medicines safety; forms of prescribing including PGD)
ADULT Field Specific Content:
Assessing, recognising and responding to acute and critical physical illness
Respiratory Care and Support: Respiratory failure, NIV, Chest Drain, ABG Interpretation
Referral pathways and escalation of care (e.g. role of EWS; Outreach; communication frameworks)
Managing symptoms and distress in acute care (to include pain, agitation, psychological distress in critical illness, nausea)
Surgical and post-operative care.
Pharmacology related to commonly encountered drugs in acute conditions.
Assessment, interventions and related pathophysiology in relation to acute changes in:
Shock and Fluid balance disorders
Neurological function (to include acute neurological deterioration,
Genito-urinary function (including UTI, AKI)
Endocrine function (e.g. diabetes and DKA)
MENTAL HEALTH Field Specific Content:
Mental health and the law
Admission and discharge planning
Admission of a person in acute distress
Managing risk of self-harm and suicide
Managing risk of violence and aggression
Engagement and observation of people at risk
Psychotropic medication in practice
The person experiencing psychosis
The person with a personality disorder
The person with an eating disorder
Managing mental health crisis
Pharmacology of commonly encountered drugs
CHILD Field Specific Content:
Managing neonatal complex and acute care
Managing children’s pre, peri & post operative care
Child and adolescent mental health service provision
Children and young people living with eating disorders
Self harm in children and young people
Managing children’s pain
Management of respiratory collapse in childhood
Management of sepsis and related infection and infectious diseases in childhood
Acute assessment and management: Diabetic ketoacidosis in children
Children’s fluid and fluid management
Acute care settings: managing sudden death
Promote, restore and stabilise health status in children
Pharmacology of commonly encountered drugs
SKILLS to include:
Responding to physiological deterioration
Therapeutic Communication skills
Airway skills and supporting the at risk patient
BLS yr 2 update
Learning and Teaching
Teaching and learning methods
The module is taught using a variety of learning and teaching approaches which may include:
Directed study activities
Technology enhanced learning
|Practical classes and workshops||14|
|Preparation for scheduled sessions||10|
|Total study time||187.5|
Resources & Reading list
Spotting the sick child an educational tool for health care practitioners, to aid in recognition of serious illness in children. Dr Davies F sponsored by Department of Health (2004)CD visual format
Douw G, Schoohoven L, Holwerda T, Huisman-de-Waal G, van Zanten ARH, van Acterberg Tand van der Hoeven JG (2015). Nurses’ worry or concern and early recognition of deteriorating patients on general wards in acute care hospitals: a systematic review. Critical Care, 19(1).
Healy D (2016). Psychiatric Drugs Explained. London: Elsevier.
Norman I & Ryrie I (2018). The Art and Science of Mental Health Nursing. Maidenhead: Open University Press.
Gormley Fleming E and Peate I (2019). Fundamentals of Children's applied Anatomy and Physiology: an essential guide for Nursing and Healthcare Students. Chichester: John Wiley and Sons.
Woodrow P (2015). Nursing Acutely Ill Adults. UK: Taylor & Francis.
Thompson M, Hooper C, Laver-Bradbury C, Gale C (2012). Child and Adolescent Mental Health: Theory and Practice. London: Hodder Arnold.
Macqueen S Bruce EA and Gibson F (2012). The Great Ormond Street Hospital manual of children’s nursing practices. Chichester: Wiley-Blackwell.
Peate I and Dutton H (2012). Acute Nursing Care: Recognising and Responding to Medical Emergencies. Abingdon: Routledge.
Glasper EA, and Richardson J (2010). Textbook of children’s and young people’s nursing. Edinburgh: Elsevier.
Barber P (2013). Medicine management for nurses. Maidenhead: McGraw Hill Education Open University Press.
Tait D, James J, Williams C and Barton D (2015). Acute and Critical Care in Adult Nursing. London: Sage.
This assessment will test your ability to assess a person's care needs, relate signs and symptoms, identify risk of deterioration and articulate a plan of care.
Formative assessment descriptionSeminar
Summative assessment description
Referral assessment description
Repeat type: Internal & External